| NPI | 1083029557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR O FALAIYE President 703-336-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401410237) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |